Provider Demographics
NPI:1093860306
Name:SEXTON, PAULA GENE (LCSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:GENE
Last Name:SEXTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 N BOBOLINK DR
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-6214
Mailing Address - Country:US
Mailing Address - Phone:417-224-6055
Mailing Address - Fax:417-581-0438
Practice Address - Street 1:3503 N BOBOLINK DR
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-6214
Practice Address - Country:US
Practice Address - Phone:417-224-6055
Practice Address - Fax:417-581-0438
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020131661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical